| NPI | 1184620635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO 28884) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 28884) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 19989) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2015-07-24 |